JEFFERSON COUNTY MEMORIAL HOSPITAL LONG TERM CARE UNIT

The information listed below provides an in-depth look into the type and quality of care offered at Jefferson County Memorial Hospital Long Term Care Unit. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

JEFFERSON COUNTY MEMORIAL HOSPITAL LONG TERM CARE UNIT
408 DELAWARE STREET
WINCHESTER, KS 66097
(913) 774-4730

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

70%

Number of Residents and Certified Beds

  • Residents: 30
  • Certified Beds: 43

This Facility Accepts

  • Medicaid

Operational Details

  • Operated By Non Profit - Other
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Easton | Oskaloosa | Valley Falls

Rating Details For Jefferson County Memorial Hospital Long Term Care Unit

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours25 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 18 Minutes2 Hours and 33 Minutes
Total Licensed Nurse Hours1 Hour and 27 Minutes1 Hour and 36 Minutes
Total Nurse Hours2 Hours and 45 Minutes4 Hours and 9 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Kansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityKansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder49%44%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%17%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain30%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%3%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%14%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-6%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/04/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Give or Get Dental Care for Each Resident.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/04/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/24/2008
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/04/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Jefferson County Memorial Hospital Long Term Care Unit, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/21/2009
  • Correction Date: 05/27/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Jefferson County Memorial Hospital Long Term Care Unit had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/07/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
Portable Fire Extinguishers.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 07/30/2008
  • Correction Date: 08/07/2008

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009
Approved Construction Type or Materials.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/30/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 06/07/2010
  • Correction Date: 06/09/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 07/30/2008
  • Correction Date: 08/07/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/07/2010
  • Correction Date: 06/09/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/30/2008
  • Correction Date: 07/31/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/20/2009
  • Correction Date: 11/20/2009
Source: Medicare Nursing Home Compare; Kansas Department on Aging - Retrieved 2011